Provider Demographics
NPI:1306835228
Name:GILATS, MICHELLE RACHEL (MS, CGC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:RACHEL
Last Name:GILATS
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 W DIVERSEY PKWY
Mailing Address - Street 2:UNIT 27
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-1088
Mailing Address - Country:US
Mailing Address - Phone:773-248-4707
Mailing Address - Fax:
Practice Address - Street 1:2300 N CHILDRENS PLZ
Practice Address - Street 2:CHILDREN'S MEMORIAL HOSPITAL, BOX #59
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-3709
Practice Address - Fax:773-929-9565
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS